Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Jude Mutter, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417272063

Matthew Jude Mutter, MD is an Urology in Memphis, Tennessee. Graduated from Louisiana State University School of Medicine in New Orleans in 2010, 16 years ago. Practices with Mary Bird Perkins Cancer Center, a 90-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
16
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
TN
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

880 Madison Ave
Memphis, TN 38103-3409
Phone: (901) 545-6969
Fax: (901) 545-7260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 52976 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417272063
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2010
Last updated in NPPESJune 17, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2010 (16 years in practice)
Group practice Mary Bird Perkins Cancer Center — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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